| NPI | 1073941068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN JULETTE ELLIOTT-SAMUELS President 646-342-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 433076) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |